Individual
JENNIFER MERCIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
176 MAIN ST, SOUTHBRIDGE, MA 01550-2561
(508) 765-5940
(508) 765-5840
Mailing address
10 MECHANIC ST, WORCESTER, MA 01608-2420
(508) 765-5940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y10400
MEDICARE
MA
Enumeration date
01/07/2015
Last updated
01/07/2015
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